Kathy Le1, Virmarie Correa-Fernández2, Isabel Martinez Leal3, Bryce Kyburz4, Tzu-An Chen5, Daniel Barrientos6, Elma Saenz7, Teresa Williams8, Daniel P O'Connor9, Ezemenari M Obasi10, Kathleen Casey11, Lorraine R Reitzel12. 1. Research Scientist, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX. 2. Assistant Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX. 3. Senior Researcher, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX. 4. Taking Texas Tobacco Free Program Manager, Integral Care, Austin, TX. 5. Research Assistant Professor, University of Houston, HEALTH Research Institute, Houston, TX. 6. Center Director, Recovery Outreach Center, Victoria, TX. 7. Clinic Coordinator, Recovery Outreach Center, Victoria, TX. 8. Director of Clinical Services, Integral Care, Austin, TX. 9. Professor, University of Houston, Department of Health & Human Performance, Houston, TX. 10. Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX. 11. Director of Clinical Innovation and Development, Integral Care, Austin, TX. 12. Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX;, Email: Lrreitzel@uh.edu.
Abstract
Objectives: About 65%-87% of substance use disorder patients smoke cigarettes, compared to 14% of the general adult population. Few substance use treatment centers (SUTCs) have comprehensive tobacco-free workplace (TFW) policies or offer tobacco interventions. Taking Texas Tobacco Free (TTTF) implements an evidence-based TFW program in SUTCs, including at the Billy T. Cattan Recovery Outreach Center (BTC). We present a mixed methods case study of BTC's TTTF implementation, success factors, and challenges. Methods: TTTF provided policy development assistance, training, treatment resources, and technical assistance over ∼9 months. Implementation was tailored using mixed methods. Quantitative data included surveys to stakeholders (Nmax = 7), a pre- and post-training questionnaire assessing knowledge gain, and reported quantities of tobacco use assessments (TUAs) administered and nicotine replacement therapy (NRT) provided. Qualitative data included stakeholder focus groups and interviews (18 participants). Results: All employees reported TFW policy compliance. Employees exhibited a 20% knowledge gain. Clinicians increased self-report of NRT provision and tobacco cessation counseling. During implementation, BTC administered TUAs to 171 patients and dispensed NRT to 70 of 110 tobacco-using patients. Conclusion: Qualitative findings contextualized quantitative outcomes. TTTF implementation changed clinician attitudes, knowledge, and practices regarding tobacco treatment, facilitating patient quit attempts.
Objectives: About 65%-87% of substance use disorder patients smoke cigarettes, compared to 14% of the general adult population. Few substance use treatment centers (SUTCs) have comprehensive tobacco-free workplace (TFW) policies or offer tobacco interventions. Taking Texas Tobacco Free (TTTF) implements an evidence-based TFW program in SUTCs, including at the Billy T. Cattan Recovery Outreach Center (BTC). We present a mixed methods case study of BTC's TTTF implementation, success factors, and challenges. Methods: TTTF provided policy development assistance, training, treatment resources, and technical assistance over ∼9 months. Implementation was tailored using mixed methods. Quantitative data included surveys to stakeholders (Nmax = 7), a pre- and post-training questionnaire assessing knowledge gain, and reported quantities of tobacco use assessments (TUAs) administered and nicotine replacement therapy (NRT) provided. Qualitative data included stakeholder focus groups and interviews (18 participants). Results: All employees reported TFW policy compliance. Employees exhibited a 20% knowledge gain. Clinicians increased self-report of NRT provision and tobacco cessation counseling. During implementation, BTC administered TUAs to 171 patients and dispensed NRT to 70 of 110 tobacco-using patients. Conclusion: Qualitative findings contextualized quantitative outcomes. TTTF implementation changed clinician attitudes, knowledge, and practices regarding tobacco treatment, facilitating patient quit attempts.
Authors: Matthew Taing; Vijay Nitturi; Tzuan A Chen; Bryce Kyburz; Isabel Martinez Leal; Virmarie Correa-Fernández; Ezemenari M Obasi; Teresa Williams; Kathleen Casey; Daniel P O'Connor; Litty Koshy; Maggie Britton; Kelli Drenner; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2021-12-26 Impact factor: 4.614
Authors: Kathy Le; Tzuan A Chen; Isabel Martinez Leal; Virmarie Correa-Fernández; Ezemenari M Obasi; Bryce Kyburz; Teresa Williams; Kathleen Casey; Matthew Taing; Daniel P O'Connor; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2021-10-06 Impact factor: 3.390
Authors: Isabel Martinez Leal; Jayda Martinez; Maggie Britton; Tzuan A Chen; Virmarie Correa-Fernández; Bryce Kyburz; Vijay Nitturi; Ezemenari M Obasi; Kelli Drenner; Teresa Williams; Kathleen Casey; Brian J Carter; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2022-06-23 Impact factor: 4.614
Authors: Ammar D Siddiqi; Maggie Britton; Tzuan A Chen; Brian J Carter; Carol Wang; Isabel Martinez Leal; Anastasia Rogova; Bryce Kyburz; Teresa Williams; Mayuri Patel; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2022-08-05 Impact factor: 4.614
Authors: Cassidy R LoParco; Tzuan A Chen; Isabel Martinez Leal; Maggie Britton; Brian J Carter; Virmarie Correa-Fernández; Bryce Kyburz; Teresa Williams; Kathleen Casey; Anastasia Rogova; Hsien-Chang Lin; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2022-09-20 Impact factor: 4.614
Authors: Isabel Martinez Leal; Matthew Taing; Virmarie Correa-Fernández; Ezemenari M Obasi; Bryce Kyburz; Kathy Le; Litty Koshy; Tzuan A Chen; Teresa Williams; Kathleen Casey; Daniel P O'Connor; Lorraine R Reitzel Journal: Int J Environ Res Public Health Date: 2021-05-27 Impact factor: 4.614
Authors: Vijay Nitturi; Tzu-An Chen; Bryce Kyburz; Isabel Martinez Leal; Virmarie Correa-Fernandez; Daniel P O'Connor; Teresa Williams; Lorra Garey; Tim Stacey; William T Wilson; Cho Lam; Lorraine R Reitzel Journal: Nicotine Tob Res Date: 2021-01-22 Impact factor: 4.244